Comparison of the measurement properties of SF-6Dv2 and EQ-5D-5L in a Chinese population health survey

Xie, Song; Wang, Dingyao; Wu, Jing; Liu, Chunyu; Jiang, Wenchen

doi:10.1186/s12955-022-02003-y

Cited by 19 publications

(14 citation statements)

References 66 publications

(144 reference statements)

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“…Forth, several questions, i.e., the delivery place, the number of children for female respondents (aged 15 to 64 years), and the presence of vaccination certificates, height, and weight at birth for adolescent respondents (aged < 5 years), were also asked if eligible. Detailed descriptions of sampling and data collection can be found elsewhere [ 23 , 24 ].…”

Section: Methodsmentioning

confidence: 99%

The trend in quality of life of Chinese population: analysis based on population health surveys from 2008 to 2020

Wang

Xie

et al. 2023

BMC Public Health

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Background Quality of life (QoL) is one of the most important indicators for evaluating an individual’s overall health status. However, evidence exploring the trend in QoL of the Chinese population is still lacking. This study aimed to investigate the trend in QoL of the Chinese population measured by the EQ-5D from 2008 to 2020, as well as compare the changing trends in QoL categorized by populations with different socio-demographic characteristics. Methods Data were obtained from the 2008, 2013, and 2020 waves of the Health Services Surveys conducted in Tianjin, China. Respondents completed the EQ-5D (EQ-5D-3L in 2008 and 2013 and EQ-5D-5L in 2020) through face-to-face interviews or self-administration. Responses of the EQ-5D-3L in 2008 and 2013 were mapped onto the EQ-5D-5L responses, and then converted to utility values using the Chinese value set. The trend in QoL was explored by comparing the percentage of any reported problems on each EQ-5D dimension and the corresponding utility values across the three waves. Subgroup analyses were performed to compare trends in utility values stratified by socio-demographic indicators. The effect of the time variable (year) on utility values was assessed by multiple linear regression analyses using the pooled data. Results By analyzing and comparing the three waves of the data (N = 25,939 in the 2008 wave, N = 22,138 in 2013, and N = 19,177 in 2020), an upward trend was observed in the percentages of reporting problems on all five dimensions (p < 0.001), resulting in a decreasing trend in utility values (2008: 0.948, 2013: 0.942, 2020: 0.939, p < 0.001). Utility values declined more over time among the female, the elder, the recipients of medical assistance, the widowed, the unemployed, and respondents with primary or lower education. The effect of the year (Coef. for 2013 = − 0.009, p < 0.001; Coef. for 2020 = − 0.010, p < 0.001) confirmed the downward trend in the utility values. Conclusions The overall QoL of the Chinese population decreased over the period from 2008 to 2020. The QoL of the disadvantaged or vulnerable populations in terms of socioeconomic characteristics declined more over time.

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Section: Methodsmentioning

confidence: 99%

The trend in quality of life of Chinese population: analysis based on population health surveys from 2008 to 2020

Wang

Xie

et al. 2023

BMC Public Health

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“…All claim to measure utility on the same scale. However, as these measures are based on different health descriptions there is growing evidence that they produce different results [ 2 , 3 , 17 , 39 , 43 , 44 ]. Hence agreement on the most appropriate utility measurement method for future cost-effectiveness analyses of treatment options for ACL injury patients is needed, potentially aligned with the preference of Heath Technology Assessment authorities for EQ-5D [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

“Cost-effectiveness of ACL treatment is dependent on age and activity level: a systematic review”

Deviandri

Veen

Lubis

et al. 2022

Knee Surg Sports Traumatol Arthrosc

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Purpose To systematically review the literature on health-economic evaluations of anterior cruciate ligament (ACL) injury between reconstruction surgery (ACLR) and non-operative treatment (NO) and suggest the most cost-effective strategy between the two. Methods All economic studies related to ACLR versus NO post-ACL injury, either trial based or model based, published until April 2022, were identified using PubMed and Embase. The methodology of the health-economic analysis for each included study was categorized according to the four approaches: cost-minimization analysis (CMA), cost-effectiveness analysis (CEA), cost–benefit analysis (CBA), and cost-utility analysis (CUA). The quality of each included study was assessed using the Consensus on Health Economic Criteria (CHEC) list. Results Of the seven included studies, two compared the strategies of early ACLR and NO alone, and five compared early ACLR and NO with optional delayed ACLR. All studies performed a CUA, and one study performed a CBA additionally. The CHEC scores of the included studies can be considered good, ranging from 15 to 18 from a maximum of 19. Applying the common standard threshold of $50,000 per QALY, six studies in young people with high-activity levels or athletes showed that early ACLR would be preferred over either NO alone or delayed ACLR. Of six studies, two even showed early ACLR to be the dominant strategy over either NO alone or delayed ACLR, with per-patient cost savings of $5,164 and $1,803 and incremental per-patient QALY gains of 0.18 and 0.28, respectively. The one study in the middle-aged people with a moderate activity level showed that early ACLR was not more cost-effective than delayed ACLR, with ICER $101,939/QALY using the societal perspective and ICER $63,188/QALY using the healthcare system perspective. Conclusion Early ACLR is likely the more cost-effective strategy for ACL injury cases in athletes and young populations with high-activity levels. On the other hand, non-operative treatment with optional delayed ACLR may be the more cost-effective. Level of evidence Systematic review of level III studies.

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“…Our estimated mean health utility value for the VR-12 (0.698) is lower than estimates from other studies. For example, studies of the SF-6D from the UK, Australia, Hong Kong, and China, estimated mean values ranging from 0.766 to 0.872 [ 49 – 53 ]. A Canadian study of the HUI estimated a mean health utility value of 0.863 [ 13 ], while Canadian, Chinese, and US studies of the EQ-5D-5L estimated mean values of 0.864, 0.946 and 0.851 (from the face-to-face sample), respectively [ 20 , 52 , 54 ].…”

Section: Discussionmentioning

confidence: 99%

Quality of life of the Canadian population using the VR-12: population norms for health utility values, summary component scores and domain scores

Trenaman,

Guh,

Bansback

et al. 2023

Qual Life Res

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Objectives To estimate Canadian population norms (health utility values, summary component scores and domain scores) for the VR-12. Methods English and French speaking Canadians aged 18 and older completed an online survey that included sociodemographic questions and standardized health status instruments, including the VR-12. Responses to the VR-12 were summarized as: (i) a health utility value; (ii) mental and physical component summary scores (MCS and PCS, respectively), and (iii) eight domain scores. Norms were calculated for the full sample and by gender, age group, and province/territory (univariate), and for several multivariate stratifications (e.g., age group and gender). Results were summarized using descriptive statistics, including number of respondents, mean and standard deviation (SD), median and percentiles (25th and 75th), and minimum and maximum. Results A total of 6761 people who clicked on the survey link completed the survey (83.4% completion rate), of whom 6741 (99.7%) were included in the analysis. The mean health utility score was 0.698 (SD = 0.216). Mean health utility scores tended to be higher in older age groups, ranging from 0.661 (SD = 0.214) in those aged 18–29 to 0.728 (SD = 0.310) in those aged 80+. Average MCS scores were higher in older age groups, while PCS scores were lower. Females consistently reported lower mean health utility values, summary component scores and domain scores compared with males. Conclusions This is the first study to present Canadian norms for the VR-12. Health utility norms can serve as a valuable input for Canadian economic models, while summary component and domain norms can help interpret routinely-collected data.

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Comparison of the measurement properties of SF-6Dv2 and EQ-5D-5L in a Chinese population health survey

Cited by 19 publications

References 66 publications

The trend in quality of life of Chinese population: analysis based on population health surveys from 2008 to 2020

The trend in quality of life of Chinese population: analysis based on population health surveys from 2008 to 2020

“Cost-effectiveness of ACL treatment is dependent on age and activity level: a systematic review”

Quality of life of the Canadian population using the VR-12: population norms for health utility values, summary component scores and domain scores

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